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<br /> Vol. 60, No. 4, August/août 2017<br /> canjsurg.ca<br /> Long-term use of left ventricular assist devices: a report<br /> on clinical outcomes<br /> Attitudes and factors contributing to attrition in Canadian<br /> surgical specialty residency programs<br /> Robotic-assisted thoracoscopic surgery for lung resection:<br /> the first Canadian series<br /> Evaluation of an advanced-practice physiotherapist in triaging<br /> patients with lumbar spine pain<br /> SPONSORS<br /> Canadian Association of General Surgeons Department of Surgery, University of Calgary<br /> Canadian Society of Surgical Oncology Département de chirurgie, Université de Sherbrooke<br /> Canadian Association of Thoracic Surgeons Department of Surgery, McMaster University<br /> Department of Surgery, Dalhousie University Dépar<a title="CJS; Vol. 60, No. 4, August 2017 page 1" href="http://viewer.zmags.com/publication/6d364be2?page=1"> Vol. 60, No. 4, August/août 2017 canjsurg.ca Long</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 2" href="http://viewer.zmags.com/publication/6d364be2?page=2"> UNCOVERING HIDRADENITIS SUPPURATIVA Dr. Shear, Dr</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 3" href="http://viewer.zmags.com/publication/6d364be2?page=3"> canjsurg.ca Vol. 60, No. 4, August/août 2017 can</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 4" href="http://viewer.zmags.com/publication/6d364be2?page=4"> DISCUSSIONS IN SURGERY DISCUSSIONS EN CHIRURGHIE </a> <a title="CJS; Vol. 60, No. 4, August 2017 page 5" href="http://viewer.zmags.com/publication/6d364be2?page=5"> COEDITORS CORÉDACTEURS Edward J. Harvey, MD, Mon</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 6" href="http://viewer.zmags.com/publication/6d364be2?page=6"> EDITORIAL • ÉDITORIAL Toward a “New School” of s</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 7" href="http://viewer.zmags.com/publication/6d364be2?page=7"> EDITORIAL • ÉDITORIAL Vers un « mouvement de l’é</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 8" href="http://viewer.zmags.com/publication/6d364be2?page=8"> COMMENTARY • COMMENTAIRE Bariatric surgery touri</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 9" href="http://viewer.zmags.com/publication/6d364be2?page=9"> needed for either a laparoscopic Roux-en-Y gastri</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 10" href="http://viewer.zmags.com/publication/6d364be2?page=10"> HISTORY OF SURGERY: FIRST WORLD WAR HISTOIRE DE L</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 11" href="http://viewer.zmags.com/publication/6d364be2?page=11"> were at odds with the needs of the Canadian gover</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 12" href="http://viewer.zmags.com/publication/6d364be2?page=12"> HISTOIRE DE LA CHIRURGIE : PREMIÈRE GUERRE MONDIA</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 13" href="http://viewer.zmags.com/publication/6d364be2?page=13"> representative of the Department of Militia and D</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 14" href="http://viewer.zmags.com/publication/6d364be2?page=14"> RESEARCH • RECHERCHE The Orthopedic Trauma Sympo</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 15" href="http://viewer.zmags.com/publication/6d364be2?page=15"> T he number of individuals impacted b</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 16" href="http://viewer.zmags.com/publication/6d364be2?page=16"> RECHERCHE the summit participants and instructo</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 17" href="http://viewer.zmags.com/publication/6d364be2?page=17"> RESEARCH Instructors Physicians Residents Que</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 18" href="http://viewer.zmags.com/publication/6d364be2?page=18"> RECHERCHE students (64%) than residents (76%) f</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 19" href="http://viewer.zmags.com/publication/6d364be2?page=19"> also reported significantly lower agreement than </a> <a title="CJS; Vol. 60, No. 4, August 2017 page 20" href="http://viewer.zmags.com/publication/6d364be2?page=20"> RECHERCHE improved surgical care in LMICs has b</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 21" href="http://viewer.zmags.com/publication/6d364be2?page=21"> 4. Limitations This study had 2 major limitation</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 22" href="http://viewer.zmags.com/publication/6d364be2?page=22"> RESEARCH • RECHERCHE Long-term use of left ventr</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 23" href="http://viewer.zmags.com/publication/6d364be2?page=23"> H eart failure (HF) is widespread among </a> <a title="CJS; Vol. 60, No. 4, August 2017 page 24" href="http://viewer.zmags.com/publication/6d364be2?page=24"> RECHERCHE We used the Mann–Whitney U test for n</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 25" href="http://viewer.zmags.com/publication/6d364be2?page=25"> outcomes in the 37 patients who received prolonge</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 26" href="http://viewer.zmags.com/publication/6d364be2?page=26"> RECHERCHE was related to controller requiring s</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 27" href="http://viewer.zmags.com/publication/6d364be2?page=27"> counterparts (Fig. 6, p = 0.021). Finally, risk o</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 28" href="http://viewer.zmags.com/publication/6d364be2?page=28"> RECHERCHE patients are transferred to rehabilit</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 29" href="http://viewer.zmags.com/publication/6d364be2?page=29"> RESEARCH A Arterial non-CNS thromboembolism </a> <a title="CJS; Vol. 60, No. 4, August 2017 page 30" href="http://viewer.zmags.com/publication/6d364be2?page=30"> RECHERCHE 100 75 Survival, % 50 25 </a> <a title="CJS; Vol. 60, No. 4, August 2017 page 31" href="http://viewer.zmags.com/publication/6d364be2?page=31"> and transfusions were common in our patient cohor</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 32" href="http://viewer.zmags.com/publication/6d364be2?page=32"> RECHERCHE 9. Park SJ, Tector A, Piccioni W, e</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 33" href="http://viewer.zmags.com/publication/6d364be2?page=33"> RESEARCH • RECHERCHE Attitudes and factors contr</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 34" href="http://viewer.zmags.com/publication/6d364be2?page=34"> RECHERCHE T he rate of, and reasons f</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 35" href="http://viewer.zmags.com/publication/6d364be2?page=35"> Results Overall we received 523 responses. The t</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 36" href="http://viewer.zmags.com/publication/6d364be2?page=36"> RECHERCHE involved and the programs in question</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 37" href="http://viewer.zmags.com/publication/6d364be2?page=37"> are frequently contradictory. An example of this </a> <a title="CJS; Vol. 60, No. 4, August 2017 page 38" href="http://viewer.zmags.com/publication/6d364be2?page=38"> RECHERCHE to hear, particularly when leading qu</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 39" href="http://viewer.zmags.com/publication/6d364be2?page=39"> RESEARCH • RECHERCHE Left ventricular assist dev</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 40" href="http://viewer.zmags.com/publication/6d364be2?page=40"> RECHERCHE L eft ventricular assist d</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 41" href="http://viewer.zmags.com/publication/6d364be2?page=41"> remaining 4 patients demonstrated an average INR </a> <a title="CJS; Vol. 60, No. 4, August 2017 page 42" href="http://viewer.zmags.com/publication/6d364be2?page=42"> RECHERCHE He was on warfarin and acetylsalicyli</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 43" href="http://viewer.zmags.com/publication/6d364be2?page=43"> The overall mortality of our series was 33% (n</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 44" href="http://viewer.zmags.com/publication/6d364be2?page=44"> RECHERCHE no increase in short-term thrombotic </a> <a title="CJS; Vol. 60, No. 4, August 2017 page 45" href="http://viewer.zmags.com/publication/6d364be2?page=45"> We have used the subcostal approach for exch</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 46" href="http://viewer.zmags.com/publication/6d364be2?page=46"> RESEARCH • RECHERCHE Robotic-assisted thoracosco</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 47" href="http://viewer.zmags.com/publication/6d364be2?page=47"> M inimally invasive surgery (MI</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 48" href="http://viewer.zmags.com/publication/6d364be2?page=48"> RECHERCHE lobe (n = 65, 38.9%), followed by the</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 49" href="http://viewer.zmags.com/publication/6d364be2?page=49"> complications. The overall postoperative complica</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 50" href="http://viewer.zmags.com/publication/6d364be2?page=50"> RECHERCHE Discussion This is the first Canadia</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 51" href="http://viewer.zmags.com/publication/6d364be2?page=51"> funded system.20 Evidence regarding safety, perio</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 52" href="http://viewer.zmags.com/publication/6d364be2?page=52"> RESEARCH • RECHERCHE Evaluation of an advanced-p</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 53" href="http://viewer.zmags.com/publication/6d364be2?page=53"> RESEARCH Conclusion  : Au moment du triage des </a> <a title="CJS; Vol. 60, No. 4, August 2017 page 54" href="http://viewer.zmags.com/publication/6d364be2?page=54"> RECHERCHE The usual triage process requires all</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 55" href="http://viewer.zmags.com/publication/6d364be2?page=55"> described by Reeve and May34: information about t</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 56" href="http://viewer.zmags.com/publication/6d364be2?page=56"> RECHERCHE Table 3. Patient characteristics by s</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 57" href="http://viewer.zmags.com/publication/6d364be2?page=57"> RESEARCH Limitations </a> <a title="CJS; Vol. 60, No. 4, August 2017 page 58" href="http://viewer.zmags.com/publication/6d364be2?page=58"> RECHERCHE 23. Hourigan PG, Weatherley CR. Initi</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 59" href="http://viewer.zmags.com/publication/6d364be2?page=59"> RESEARCH • RECHERCHE Radiostereometric analysis </a> <a title="CJS; Vol. 60, No. 4, August 2017 page 60" href="http://viewer.zmags.com/publication/6d364be2?page=60"> RECHERCHE S uccessful results after </a> <a title="CJS; Vol. 60, No. 4, August 2017 page 61" href="http://viewer.zmags.com/publication/6d364be2?page=61"> imaging and patient-reported outcome measures wer</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 62" href="http://viewer.zmags.com/publication/6d364be2?page=62"> RECHERCHE This patient showed the highest coron</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 63" href="http://viewer.zmags.com/publication/6d364be2?page=63"> Discussion The small sample size achieved in our</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 64" href="http://viewer.zmags.com/publication/6d364be2?page=64"> RECHERCHE Although a small number of clini</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 65" href="http://viewer.zmags.com/publication/6d364be2?page=65"> 4. Lazarus MD, Jensen KL, Southworth C, et al. T</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 66" href="http://viewer.zmags.com/publication/6d364be2?page=66"> DISCUSSIONS IN SURGERY • DISCUSSIONS EN CHIRURGIE</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 67" href="http://viewer.zmags.com/publication/6d364be2?page=67"> outcome, such that a change in the surrogate end </a> <a title="CJS; Vol. 60, No. 4, August 2017 page 68" href="http://viewer.zmags.com/publication/6d364be2?page=68"> RECHERCHE exists to suggest that a change in th</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 69" href="http://viewer.zmags.com/publication/6d364be2?page=69"> and C fibres function by indirectly inhibiting vo</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 70" href="http://viewer.zmags.com/publication/6d364be2?page=70"> RECHERCHE followed 51 patients to assess the ro</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 71" href="http://viewer.zmags.com/publication/6d364be2?page=71"> end point and patient-important outcome given the</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 72" href="http://viewer.zmags.com/publication/6d364be2?page=72"> RECHERCHE a review of our initial search strate</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 73" href="http://viewer.zmags.com/publication/6d364be2?page=73"> following robotic assisted minimally invasiv</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 74" href="http://viewer.zmags.com/publication/6d364be2?page=74"> CAREER/CLASSIFIED ADVERTISING/CARRIÈRES ET ANNONC</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 75" href="http://viewer.zmags.com/publication/6d364be2?page=75"> Western University, St. Joseph’s Health Care Lond</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 76" href="http://viewer.zmags.com/publication/6d364be2?page=76"> LETTERS • LETTRES In memorIam of Dr. DavID WhIt</a> <a title="CJS; Vol. 60, No. 4, August 2017 page 77" href="http://viewer.zmags.com/publication/6d364be2?page=77"> UNCOVERING HIDRADENITIS SUPPURATIVA Dr. Shear, Dr</a>